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Updated: Jun 26, 2026

Complete and Partial Resuscitative Endovascular Balloon Occlusion of the Aorta for Hemorrhagic Shock
Published on: May 19, 2022
Shock complicating successful bronchial artery embolization for severe hemoptysis
Vincent Labbe1, Sébastien Roques1, Franck Boughdène2
1Service de Pneumologie et Réanimation, Hôpital Tenon, Assistance Publique-Hôpitaux de Paris and Université Pierre et Marie Curie, Paris, France.
Complications from bronchial artery embolization (BAE) are rare. This study reports three cases of shock resulting from splenic infarction following successful BAE procedures.
Area of Science:
- Interventional Radiology
- Vascular Medicine
- Gastroenterology
Background:
- Bronchial artery embolization (BAE) is a common procedure for managing hemoptysis.
- While generally safe, potential complications require careful consideration.
- Understanding rare adverse events is crucial for patient safety.
Observation:
- Three patients developed shock after undergoing successful BAE.
- The shock was attributed to splenic infarction, a rare complication.
- This highlights an unusual post-embolization syndrome.
Findings:
- Splenic infarction can occur as a delayed complication of BAE.
- The mechanism may involve non-target embolization or altered splenic blood flow.
- Prompt recognition of splenic infarction is essential for managing post-BAE shock.
Implications:
- Clinicians should be aware of splenic infarction as a potential complication of BAE.
- Further research may elucidate the exact pathophysiology and risk factors.
- This case series emphasizes the importance of vigilant patient monitoring after BAE.
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